H61.90

Documentation support

General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.

• •Laterality-specific codes exist for this condition — confirm the affected side is documented.
• •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.

ICD-9-CM equivalent

Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.

• 38011Approximate match
• 3809Approximate match

Associated MS-DRGs

H61.90 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.

Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.

• DRG 154Other Ear, Nose, Mouth and Throat Diagnoses with MCC
• DRG 155Other Ear, Nose, Mouth and Throat Diagnoses with CC
• DRG 156Other Ear, Nose, Mouth and Throat Diagnoses without CC/MCC